Ferrum. the metal iron. in potency works
to heal in the three functional realms: it is a healer and strengthener
of nervous tissue. it is related to the biliary
system. restraining the overexuberance. and

it finds itself working especially in the rhythmic dances. The to and
fro of taking up and giving up oxygen by the hemoglobin
is an archetypal example of this rhythmic activity of iron.

[Luke Norland]

The cancer miasm can
be seen as being a tri-miasmatic state, combining
elements of Psora, Sycosis
and Syphilis. There is the Psoric element of struggle
that has been amplified to such a level that the individual feels as though they
must make a superhuman effort to overcome the task. They set themselves a goal
that is so far out of reach it is almost impossible to get to without a near
impeccable performance, they are striving for nothing less than perfection, and
so they are pushed to great lengths, and take on a lot of responsibility from a
young age. We can see how this could come about in a home environment that
demands a certain standard of behaviour, where the spontaneity of the child is
suppressed in favour of manners and achievement. The tumour itself is a result
of a proliferation of cells (Sycotic excess) that
continue to grow, replicating themselves, ignoring the code of healthy cells so
they end up destroying existing structures (Syphilitic destruction of form).
This polarity between conformity and rebellion can also be seen in the cancer miasm; if somebody is heavily suppressed for a long period
of time, either they will want to break free from this restrictive structure,
or their body will develop pathology that expresses this breaking free from the
structure such as when a tumour metastasises.

It produces a marked typhoid condition in its prostration as well as in
its zymosis, which comes on slowly. So much so is
this the case that routinists often speak of
Phosphorus as a remedy belonging to the second or third week of typhoid fever,
because of the slowness with which its symptoms come on. We find this quite
justifiable by the slowness with which the symptoms appear in the provings.

[Dr.Vijayakar]

Greatest importance to the psoric need which
helps in final filtration and selection of GCS. Psora
is our basic survival mechanism. For survival the organism needs respiration,
nutrition and regeneration at the physical level; and love, support and
self-esteem at the mental level. These needs are to be distinguished from the Psoricmiasm which is essentially
activated when any of these psoric needs is not
satisfied. More on this can be found in the discussion of Graphites
in his book, ‘Genetic MateriaMedica’
and elsewhere in his other books.

The psoric need of a Phosphorous constitution
is love. The person wants to take and give love.

[MIND - AFFECTION - yearning for affection;

MIND - AFFECTIONATE - returns affection.

MIND - SYMPATHY from others - desire for;

MIND - SYMPATHETIC.]

This Psoric need affects the personality
throughout his life, because it is where the sensitivity lies in the inner most
core of his being and it gets obscured as the psora
develops into sycosis and then into syphilis.

PSORIC NEED in CHILDHOOD versus ADULTS

Let us see a few rubrics pertaining to childhood in Phosphorus
constitutions and then compare with similar rubrics appropriate for adults.

MIND - DESIRES - full of desires - everything;
desire for - another person is using; which

MIND - FLATTERING - seducing behavior in children

Now let us examine a few similar rubrics pertaining to adults.

MIND - FEAR - happen, something will - family;
to his

MIND - ANXIETY - children - about his

MIND - DESIRES - full of desires - everything;
desire for - another person is using; which

MIND - FLATTERING

Although both these sets of rubrics literally mean the same, we can make
out a difference in their contextual meaning because of their ages and evolving
miasmatic backgrounds. Needs are psoric
and desires are sycotic. Such exercises with rubrics
will enhance our understanding of the miasmaticcoloring of symptom pictures. And now let us continue this
exercise as the adult becomes even more grownup and becomes busy with life.
Easy impressionability and desire to give and take love lands him in love
entanglements, mostly Plat-met.onic and romantic but
little realistic. The following rubrics give the well known story of what
happens in various stages thereafter when his sweet heart deserts him for
greener pastures elsewhere.

MIND - JEALOUSY - sexual excitement, with

MIND - AILMENTS FROM - jealousy

MIND - AILMENTS FROM - love; disappointed

MIND - DELIRIUM - maniacal - love, from
disappointed

MIND - GRIEF - silent - love; from disappointed

MIND - AVERSION - women; to - men; in

MIND - COWARDICE

MIND - KILL; desire to

The last rubric above gives the prompting of the syphilitic miasm, but the innate nature of phosphorus being cowardice,
it will not be carried out, nor will he have courage to end his life. The
further reaction to this situation in the phosphorus constitution may occur in
the following ways, which denote the syphilitic miasm
developing from the previous sycotic phase. It must
be understood that sycosis and syphilitic miasms are nothing but developed psora
- the basic miasm.

This last rubric above, if present in the case, indicates that the
patient is headed towards autoimmune disease if he has not already had it by
then. The person may have dreams or delusions as follows, for what the
conscious mind suppresses, will surface in dreams and delusions.

MIND - DELUSIONS - murdered - had murdered
someone; he

MIND - DELUSIONS - murdered - will be murdered;
he

If the patient had been brought up with strict religious upbringing, she
may end up with Obsessive Compulsive Disorder (OCD) which is just a step ahead
of insanity as shown by the following rubrics.

MIND - DELUSIONS - obscene - action of which
she had not been guilty; accuses herself of an obscene

What is important to note here is that the reaction to the same
situation in life varies from individual to individual. It depends upon the
dominant miasm, but modulated by the innate
constitutional traits of each individual as briefly outlined above.

PSORIC NEED - NOT RELEVANT

Because of the very nature of the psoric need,
there is no point in hunting for it in cases of children born syphilitic or
with autoimmune diseases. While working out their cases, the entry point in
such cases shall be from the rubrics relevant to body constitution, state of
mother during pregnancy, birth complications, thermals and generals, and not
from mental disposition.

MENTAL MAKEUP

The three essential conditions that define a Phosphorus constitution at
mental level are:

WILL: He has a weak will and no strong adherence to any belief, value
systems or goals in life.

UNDERSTANDING: He is ‘Easily MAGNETISED’ and ‘Highly Impressionable’. He
is very alert and reactive to the environment around him. He gives an
impression of pleasant, affectionate, and charming personality with a radiant
smile and establishes instant rapport with the homeopath. He can be compared to
a blotting paper or a cotton swab that absorbs everything it comes in contact
with. He easily picks up the vibrations of those around him and resonates to
their frequency losing his own set point. This leads ultimately to confusion of
identity and identity crisis as will be explained later.

EMOTIONAL MIND & INTELLECTUAL MIND: He is intelligent but emotions
predominate his intellect and hold complete sway over him. Emotions literally
bleed him to death.

Excitability even to ecstasy and clairvoyance. (Kent). Candegabe pointed out this essence of Phosphorus in his
Comparative MateriaMedica:
An imbalance of phosphorus, one of the main components of the nerve cell,
causes a state of over excitability in the patient’s contact with his
environment. The lack of confidence, `Confidence, want of self’, which is
potentially present in all human beings, is intensified in Phosphorus by his
emotional hypersensitivity and not by an exaggerated awareness of a real
inadequacy, as is the case with Lycopodium.Similarly his arrogance, `Haughty’, has a
slightly different meaning: here (in Phosphorus) it is a transient arrogance
which comes to the fore during his fits of enthusiasm, passion, elation and
euphoria that herald the onset

of the destructive phase. In Lycopodium,
arrogance forms an inherent part of his personality structure and can manifest
itself as conceit, servility or egotism, according to the susceptibilities of
the individual and the environment he lives in.

PHYSICAL MAKEUP

At a physical level the Phosphorus constitution reveals itself in the
following weakest points:

Tall, slender, delicate, and feeble constitutions, such as have been
born sick, grown up slender, and grown too rapidly. (Kent) Along with this type
of body structure, symptoms extend from below upwards as shown in the rubrics
vide Annexure-

1. As their list is long and in order not to divert our attention from
the main topic, the list is placed separately. As anyone of these rubrics may
serve as entry point to a Phosphorus case, the reader stands to gain by looking
into each rubric listed therein. As we can see from this list almost every
organ has a symptom with this modality and so it can be taken as a general
modality. A case cured based on this modality is posted at the end of this
section under the heading, “Direction of Cure in Paralysis”. In Phosphorus
constitutions we will find red face due to rush of blood to head. Where this
arterial excitement is missing, Phosphorus may at best work as a state simillimum only and not as GCS. So also remedies known for
venous engorgement like Carb-v. will not work as GCS
where arterial excitement is there.

2. The Phosphorus patient is very sensitive to all external impressions;
slight odors, noises, touch, electrical changes in
the atmosphere etc. Slight causes lead to exhaustion of either body or mind.
Trembling throughout the body from slight causes, using the hands, from slight
exertion, from debility, from coughing. Patients in low fever want to be
mesmerized, they are starving for vital energy.(Kent)

Haemorrhagic constitutions. Small wounds bleed much; the prick of the
needle will bubble forth much bright red blood. Hemorrhage
from small wounds, from the nose, from the lungs, from the stomach, from the
bladder and from the uterus. Bleeding from ulcerations. False granulations that
bleed. Purpurahemorrhagica.
(Kent) Hemorrhages in Phosphorus constitution are
active and bright red arterial blood unlike in remedies like Carbo-v. which are passive, venous blood.

With the above deficits at the physical level, the ruling miasm defines the kind of pathology that the body reveals
either by signs the physician observes or symptoms that the patient complains
or the syndrome that the diagnostic report and laboratory reports indicate.

Thus for example the phosphorus constitution when under the influence of
-

ii)when under the
influence of sycoticmiasm,
will come with complaints like General dropsical
condition, Bloating of the hands and feet, marked state of anemia
and relaxed condition of the muscles, Muscles flabby. In the woman, relaxation
of the pelvic organs, prolapses and other
displacements. polyps of the nose and ears, Exostoses
of the skull or any bones with tearing pains, relaxations and prolapses in various organs, anus relaxed, open and oozing
mucus or moisture, acute hydrocephalus and hydrocephaloid
symptoms. chronic inflammation of the meninges of the
brain; softening of the brain etc.,

iii)when under the influence
of syphilitic miasm, will come with complaints like,
Fatty degeneration and destruction found in the liver, heart, kidneys, muscles,
necrosis of any of the bones (jaws), Inability to swallow any nourishment
because of paralysis of the esophagus or chronic
inflammation of the mucous membranes of the throat and oesophagus; constriction
of the esophagus, Paralysis with formication
and tearing in the limbs. Paralysis that comes with apoplexy, Jerking and
twitching of the muscles along with paralysis, bleeding disorders like Epistaxis, retinal hemorrhage, Thrombosis
of retinal vessels and degenerative changes in retinal cells, atrophy of optic
nerves, anus oozing bloody moisture, Violent head pains; atrophy of the brain;
medulla oblongata. In short (irrespective of the remedy or constitution) we get
acute inflammatory diseases under Psora, accumulative
or proliferative diseases under Sycoticmiasm, and destructive or degenerative diseases of organs
or tissues under Syphilitic miasm. But the difference
lies in the selective affinity of each remedy to manifest these disease
conditions. In Phosphorus these preferred areas of localization of disease are:

CAVITIES (Head, LUNGS, Heart);

CIRCULATION (Blood, BLOOD-VESSELS, Arteries);

MUCOUS MEMBRANES (STOMACH, BOWELS, Lungs
(Lower);

NERVES(Brain, Cord);

Bones (Upper jaw, Shin, Spine.) - Boger

GENERAL MAKEUP

At a general level the Phosphorus constitution is revealed by

Thermals: Chilly patient, sensitive to cold, open air, thunderstorms or sudden
changes in atmosphere. All his complaints are worse from cold and cold
applications, and better from heat and warm applications, except the complaints
of the head and stomach, which are ameliorated from cold. A patient suffering
from the Phosphorus nausea will have vomiting come on from placing the hands in
warm water, as when washing dishes. That peculiar vomiting of pregnancy when
always aggravated by placing the hands in warm water will find its remedy in
Phosphorus. (Kent).

In hysterical patients and those suffering from thyroid disorders,
thermals can be ignored.

Thirst: craves cold drinks and >, but are VOMITED IN A LITTLE WHILE
as soon as they are warm in the stomach.

General: >: rubbing (magnetization)/cold food/carbonated drinks etc.,

<: All symptoms in the dark/when alone/hungry/thunderstorms/odors (smell of garlic)/salty dishes/sometimes from
music/from excitement/from playing the piano etc.

SOME CHARACTERISTIC SYMPTOMS AT PHYSICAL LEVEL

Some characteristic symptoms at physical level that may serve as entry
points to Phosphorus cases are listed in ANNEXURE - 2 at the end of this
article. These are rubrics which are exclusive to Phosphorus. Such an exercise
can be repeated to collect all rubrics in which Phosphorus is present in BOLD
(3 marks) to explore this remedy dimensions further.

DIRECTION OF CURE IN PARALYSIS - A CASE

The following case shows not only the importance of UPWARD direction of
symptoms in Phosphorus but also which should improve first, the sensory or the
motor nerves.

“Paralysis Following Typhoid Fever. - A strong, well-built man had
hepatitis in 1857, and in September, 1858, typhoid fever. In October he had the
following symptoms: Complete anesthesia of

the upper limbs as far as the elbow, and of the lower up to the gluteal, which had come on progressively, beginning in the
fingers and toes. At the same time the capacity for movement was largely lost;
he could grasp nothing firmly, and could not stand, muscles flaccid and wasted.
No mental impairment. Phosphorus 2 was continued for two months. First
sensation returned, then motor power. In three months he was quite well. -
Stoneham, in Jourl. B. H. S.” - AIH Journal 1910.

As shown above the improvement shall be first in sensory nerves and then
in motor nerves and this should happen in all cases, if the remedy given is the
correct simillimum.

ANNEXURE (= Zusatz mit zusätzliche
Information)

A list of rubrics that show the upward direction or extension of
symptoms in phosphorus. The direction of symptoms is an important aspect
because it differs from remedy to remedy.

For example, the spine in patients that call for phosphorus is
frequently the site of burning pain, a sense of heat which seems to travel up
the back into the head to the vertex while Pic-ac.
shows

the reverse direction for this symptom (Wheeler). This list is not
exhaustive and this modality of upward direction of symptoms can be taken as a
general modality of Phosphorus constitution.

GENERALS - PARALYSIS ext. upward

BACK - PAIN - Coccyx ext. Spine in vertex
during stool, drawing head backward; through spine to

The Phosphorus Child if the essential constitutional
traits (mentioned earlier in Part - 1) under the Mental Makeup, Physical Makeup
and General Makeup are prominent in any case, then Phosphorous works like magic
even if the child is diagnosed with predominantly syphilitic affections like
ADHD, OCD, MENTALLY RETARDED, RETT Syndrome etc., The child sensitive to
thunderstorms; likes more salt in his dishes, but aversion to eggs; likes
travelling and enjoys being rubbed, (magnetized) or cuddled or dandled. The
child looks lean and delicate, suffering from loose stools, anus relaxed and
oozing bloody mucus or moisture revealing tubercular diathesis. The diarrhea is ameliorated after eating ice-cream or cold
food. Children suffering from bronchial catarrh seem to fear cough and want to
avoid it as long as possible. The child is haunted by many fears especially of
the dark, thunder and lightning. The child falls asleep easily when gently
rubbed or tickled to laughing. In the clinic the eyes of the child are very
alert and follow every movement of the doctor. Children who need this remedy
really sit on the lap of doctor and give the doctor a kiss. (Geukens. A). A study of the following rubrics and pondering
over their significance helps us in identifying the many themes of Phosphorus
including genetic disorders in children. The precipitating cause of their
illness in genetic disorders may be man-made disease like vaccination after
effects, or birth trauma. (cord around neck etc,)MIND - ABSENTMINDED - childrenMIND - anger - temper tantrums - appeased easily

MIND - DEVELOPMENT of children arrested

MIND - DYSLEXIAMIND - DULLNESS - does not
understand questions addressed to her - repetition; only after

MIND - DESIRES - full of desires - everything;
desire for - another person is using; which

MIND - fear being alone

MIND - REASSURED easily when anxious

MIND - FEAR -something will happen to his
parents child is afraid

MIND - fire - wants to set things or house on

MIND - foolish behavior
in children

MIND - IDIOCY

MIND - IMBECILITY

MIND - irritability - paralysis of spine, in
malignant

MIND - impressionable, susceptible children

MIND - mischievous - play tricks with their
elders

MIND - rage, fury in children (with atrophy)

MIND - mischievous - play tricks with their
elders

MIND - RETARDATION; mental - children

MIND - RESTLESSNESS in children

MIND - shrieking, screaming, shouting - brain
cry

MIND - shrieking, screaming, shouting in
children

MIND - THOUGHTS - compelling in children

MIND - watchfulness - movement in the vicinity
or every movement of the doctor

MIND - watchfulness - children are on the
lookout for every gesture

Pediatric obstructive sleep apnea (OSA) In this condition associated with fatty
degeneration of liver +/o. kidneys, enuresis and snoring in obese children,
Phosphorus will come as the first remedy for consideration as evidenced by the
following rubrics. It is all the more indicated if the mother suffered from
grief during pregnancy. The comments of Bhattacharjee
et al. that metabolic derangements are accentuated by the presence of obesity,
and further worsened by OSA, particularly during puberty and it should prompt pediatricians to proactively screen and treat obesity and
OSA, rather than consider these conditions as “adult-onset” diseases, assume
significance. They conclude that such change in conceptual and pragmatic
approaches is integral to the effective reversal of metabolic and
cardiovascular morbidities in children.

A few years ago, I had a case of a 5 year old baby suffering from RETT
Syndrome. It is a genetic disorder and the allopaths
gave little hope of her survival. So her parents approached me to see if

she can be helped by homeopathy. The child was having frequent
convulsions and respiratory disorders with high fever, for which she was in and
out of hospital. When she had symptom free intervals which became less and
less, she looked extremely well with alert eyes and charming looks, so that it
is hard for anyone who had seen her to forget her. As long as she was there in
the clinic she had a commanding presence and was closely surveying everyone’s
movements. She had no hemorrhagic tendency and none of other symptoms that
exclusively pointed to Phosphorus. Other remedies like Plb-met.
given based on foot-drop, learning disabilities and loss of even recently
acquired developmental skills (PRISMA) did not help the least.One
thing that is given importance in Predictive Homoeopathy is the dictum that
body and mind are mirror reflections of each other and that the mind may lie,
but the body never. With such a destructive syphilitic disease as RETT
Syndrome, how can the baby be born quite well proportioned and with symmetrical
features that belie the diagnosis? This was a question that often bothered me.
Especially in RETT Syndrome children, they are healthy looking after birth and
even their development in the initial months does not give any clue of the
impending disorder.Even though it is a
genetic disorder, it does not automatically imply that the course of disease is
time bound and inevitable and uniform in all cases. The genetic disposition is
like a tiger waiting to pounce upon its prey. So something more should happen
in all such genetic disorders for them to precipitate their expression. Mostly
such precipitating factors may be traced to vaccinations or birth trauma or
health complications that the mother had in the last month or two of her
pregnancy. So we need to dig into the past for minute details and chart out
‘journey of disease’ in each and every case and this aspect therefore takes
precedence above all others in Predictive Homeopathy. It is only then that all
the pieces of the puzzle fall into place. Our focus shifts to select a simillimum that suits the earlier picture of the patient as
it existed before the development of disease. Our knowledge of the Tri-miasmatic material medica will
then greatly help to find a GCS and we will not be deterred from giving a
remedy like Phosphorus or Sulphur-iodatum or any
other remedy that we would be tempted to rule out just because the baby does
not look a mongoloid type (as in Down’s Syndrome) or like one born with
syphilitic miasm.The other problem we face in these
types of cases is parents’ reluctance to refuse hospitalization for control of
fits. Whatever the GCS be, it has to be allowed its action and the unhindered
response of the organism for restoration of health to follow. The question that
bothers us is whether the fits are to be allowed to run their course for the
curative action to follow. To answer this, a case that was published in our old
literature is cited below in full. “On the 23rd of May, 1840, a robust young
man, 23 years old, H. H. V., from Hanover, sought relief from me on account of
epilepsy, with which he had been afflicted for five years. The attacks came on
every four to five weeks. Before every attack he had a shaking and a bending of
the left arm, losing his consciousness. After it, headache and bilious
vomiting. Even in healthy days, he frequently had to vomit after eating
carrots, sour-kraut or beans. He received one dose of Sulphur 30, and two doses
of Calcarea 30, and between these two doses one dose
of Lycopodium 30. After this the attacks were
intermittent till the end of October, when he got a sort of typhoid fever,
which (owing to his distance from here) was treated allopathically. One dose of
Calcarea 30, sufficed to remove this attack until
April 17, 1841, when the use of liquor at a Kirmess
again brought on a few attacks which were removed for another half year by a
dose of Agaricus30, and following it with another of Calcarea
30. Still his condition did not remain undisturbed permanently and I had to
give him every five or six months either a dose of Calcarea
or Silicea 30., according to circumstances. Finally
he received on March 30, 1844, a dose of Silicea 200.
, after which there set in for a week a violent aggravation, so that every day
he had one or two unusually strong attacks, always worse in the night, and
since then he has had no more attacks up to this time, as he himself informed
me in November last, and through a neighbor a short
time ago” - Boenninghausen’s Lesser Writings Page 1
of 3 Prev NextAbout the author V.T.YekkiralaV.T.YekkiralaDr.
V.T.Yekkirala was originally an electrical engineer
by profession, and was inspired by his mentor KulapathyEkkiralaKrishnamacharya
(Master E.K) to take up studying classical homeopathy and became qualified to
practice it in the year 1975. He currently practices in Hyderabad, India.

Following are some of the cases of children cured by Dr. Vijayakar

Hyper-reactive Airway disease
with acute respiratory distress and fungal infection in a 9 months old baby was
treated initially with 4 doses of Arsenicum album 200
at intervals of a few days. After acute stage was overcome, a dose of
Phosphorus 200 completed the cure. (The SIMILITUDE, July 2006).

Blindness due to Retinopathy
of Prematurity (ROP) was cured in a months old baby and the follow ups at the
end of 1 year and 2 years show cure of blindness with just one dose of Phos. 200C. [Gauting 2006]

Haematoma on forehead due to
cerebral edema hypoxic injury (cord around neck) in a
newborn baby treated with Crotolus-horridus 200C
followed by Phosphorus.[Munich 2008]

Neonatal respiratory distress
due to Hyline-Membrane-Disorder in a new born baby
was cured with Arsenicum 30C followed later on by
Phosphorus 200C as the baby’s constitutional remedy. [Mahabaleswar,
2010]

PHOSPHORUS ADULT

Phosphorus constitutions have weak will power. It is no wonder that
phosphorus will be a jack of all but master of none. His knowledge of any
subject that he undertakes lacks grit and substance. He can’t pursue any
vocation with devotion or dedication. However with his mesmerizing personality
he escapes critical evaluation of his performance or lack of it in his job.

MIND - UNDERTAKING - many things, persevering
in nothing

MIND - undertakes - things opposed to his
intentions

Phosphorus patients can be easily reassured. If they happen to conclude from
the extensive case taking that the homeopath is all out to take care of their
health issues, soon they develop dependence on him and start to be a frequent
visitor even for minor ailments of no consequence. This aspect alone may
sometimes point out their remedy.

MIND - REASSURED - easily - anxious; when

MIND - DEPENDENT of others - physician; on the

These are very sympathetic people and can’t bear to hear or see
suffering either on the streets or on the TV.

MIND - SYMPATHETIC

Mind - SYMPATHETIC, empathy - feels same pains
as others (Murphy)

MIND - SENSITIVE - crying of children, to

MIND - HORRIBLE things, sad stories affect her
profoundly

The Phosphorus adult (even from his childhood) lives by emotions and
these emotions play the sole guiding factor that ultimately play havoc with
their lives. They are creative and imaginative and have artistic aptitude. Even
though they are intelligent, their intelligence is overruled by their
predominating emotions. Their emotions are their guiding principles and make or
mar a Phosphorus personality. They can make very good actors and with grand
success. He is thus given to fall an easy prey for Alcoholism, sexual excesses,
or whatever whims and fancies that catch their imagination. They are so easily
impressionable that they may take to a vocation that ill-suits their very
nature, like business for example. Even in the face of mounting losses, their
colleagues can easily reassure them to invest even more vigorously to break
even and then finally they find themselves in a point of no return. The
phosphorus may mimic then any other personalities like Calc. or Nat-m. or Sepia
etc., none of which will help the patient and only Phosphorus will act
curatively. The following rubrics may be studied and the themes that Phosphorus
runs through them will become apparent.

MIND - MAGNETIZED - easily magnetized

MIND - IMPRESSIONABLE

MIND - undertakes - things opposed to his
intentions

MIND - business - averse to

MIND - BUSINESS - incapacity for

MIND - business - talks of - delirium, in

MIND - borrowing of everyone

MIND - cares, worries - full of - constitution,
undermined by

MIND - shock, ailments from

MIND - fear - run over, of being, on going out

GENERALITIES - weakness - impressions, from
unpleasant

With the onset of the Syphilitic miasmatic
phase, the following symptoms begin to appear.

MIND - DELUSIONS - obscene - action of which
she had not been guilty; accuses herself of an obscene

MIND - DELIRIUM - maniacal - love, from
disappointed

MIND - kill, desire to

CONFUSION OF IDENTITY

The easy impressionability of Phosphorus leads to a great many mishaps
in the life of a Phosphorus constitution, because they begin to take the
personality of whomever they begin to admire. But their very nature prevents
them from sticking to one with loyalty and after changing many favorites and disillusioned with one and all after
sometime, they begin to wonder what their own original personality is. Their
introspection leads them nowhere. In such cases, we find errors of identity
that may lead us to prescribe remedies like Alumina, Camphor etc. Camphor and
Phosphorus share around 4600 rubrics in the repertory. Camphor bears a similar
resemblance to Phosphorus not only in sublime pursuits exhibited in their
source material, but also in grotesque and bizarre behavior
in the provings as well.

The intense nature of the phosphorus personality leaves them little time
or space to stand or stare and they always feel eternally hurried and they burn
the candle at both ends. Because of his charismatic nature, it is not difficult
for phosphorus to assemble a circle of admirers around him. As he approaches
old age, and one after the other of his sycophants begins to leave him for
good, he begins to feel deserted and forlorn. Shattered in body and spirit, he
makes vain efforts to get back to his formal self and may become delirious.

MIND - DELUSIONS - body - pieces - were in several
pieces; he - adjusted; and could not get them

As life’s realities begin to dawn on them, their outward behavior may undergo a sea change and in this changed
condition, mimic any other polycrest like Aur-met. Ars. Mercury, Nat-m. or Puls. etc., and none of them will bring any relief to the
patient whose original constitution was Phosphorus and only Phosphorus is to be
given, not withstanding a clear predominating presenting picture that points to
any other remedy. The following rubrics may be studied to understand the
relevant themes of this Syphilitic stage of the Phosphorus constitution.

In these types of Syphilitic cases, we need to pay special attention to
the increased sensitivity of senses. Also the side affected in Psoro-syphilitic and syphilitic and sycotic
conditions in a Phosphorus constitution may be right side even though in Psoric and some sycotic
conditions the left side is affected. Thus he may have a tumor
or some other growth (sycotic) as a result of head
injury in the left hemi-sphere of his brain ultimately leading to right-side
paralysis (syphilitic). In this condition Phosphorus can still effect a cure.
But once cerebral hemorrhage starts, it is safe to
give a satellite remedy like Crot. horridus The preferential region for the Phosphorus
constitution is the left hemisphere. Damage to the region of auditory cortex
may result in loss of hearing. Damage to a region of the motor association
cortex in the left frontal lobe (Broca’s area)
disrupts the ability to speak, while damage to the temporal lobe may result in
a fluent aphasia that is called receptive aphasia (also known as Sensory
aphasia and Wernicke’s aphasia). Patients suffering
from receptive aphasia, unlike Broca’s aphasia
patients, produce speech without any grammatical problem. However, because the Wernicke’s area which is responsible for language
comprehension is damaged, receptive aphasia patients cannot convey the
meaning.(from wikipedia ) Where the neurological
circuits connecting the Broca’s and Wernicke’s areas get interrupted or damaged, it may result
in conduction aphasia. The following rubrics point these themes in a phosphorus
constitution.

The following rubrics reflect the theme of the end stage disease
conditions of a Phosphorus constitution as he begins to make his exit from this
mad, mad world. Here the hitherto latent Psora joins
the raging Syphilitic condition like adding fuel to the fire. The developments
in this Psoro-syphilitic condition will be fast with
all parameters going out of control.

However we shall refrain from exhibiting Phosphorus at this stage as it may
precipitate and hasten the end earlier and it is always safe to give a
satellite remed in its place. So it is advisable to
give a remedy like Crot-h for cerebral hemorrhage to contain and stabilize the patient and then
later on after the raging psora is subdued, resort to
Phosphorus to complete the recovery.

Similarly in severe chest affections (necrotizing pneumonia, lung
collapse etc,) it is advisable to give a remedy like Arsenicum
and then follow it up later on with Phosphorus or Sulphur. Kent wrote in his
lectures, “Phosphorus very low will act as a poison in really Phosphorus cases
and the only safety some patients have had who have received Phosphorus so very
low was due to the fact that the phosphorus was not similar enough to either
kill or cure. Along with these conditions comes hectic fever in the last stages
of phthisis; intense fever, red face, and night sweats; fever coming on in the
afternoon and lasting until after midnight. A powder of Phosphorus very high
will reduce this fever and make the patient comfortable until death. In all
incurable cases after the fever has been reduced, Phosphorus should not be
given, as it will intensify the fever and do just what it was given to avoid.”

Once I was perplexed by a peculiar behavior of
an adult in the rest room. He was using the back of his thumbs to open or close
the tap of the wash-basin and repeatedly applying soap and washing his hands,
unmindful of the number of persons waiting behind him. I stepped aside and
watched him further as he opened the door using the paper towel so that his
hands will not come into contact with the door knob, and made fast his exit
before the automatic door slowly shut behind him. I thought this is a text book
case of Syphilinum for his washing mania and fear of
contamination. (But the only thing that is not confirming Syphilinum
was the person’s delicate face with sparkle in his eyes and his tall stature
suggesting he is more of tubercular diathesis.)Next day while I was in the clinic, I searched in vain in all the MateriaMedicas to see if this
peculiar symptom of the person could be found in Syphilinum.
Then I made a search in Radar to get a list of all rubrics that have the word
‘thumbs’. Lo & behold! I was surprised to find these two rubrics which
mentions only Phosphorus! And these suggest its possible use in Carpal tunnel
syndrome, provided the other symptoms agree.

MIND - DELUSIONS - thumbs, fingers are

EXTREMITIES - AWKWARDNESS - Fingers - Thumbs;
as if fingers were

Since I found this condition as a concomitant in a person suffering from
washing mania, I wonder if we may add this remedy, Phosphorus in the rubric for
washing/ cleanness mania. The following rubrics in which Phosphorus is present
seem to confirm this theme very much.

I conclude therefore that in cases of washing/ cleanness mania in
patients with a tubercular diathesis, Phosphorous is an important remedy to be
considered.

To sum up there could be many themes lying out there in all polychrest remedies yet to be discovered and we have not
yet harnessed even 1% of the potential uses of these remedies because of our
ignorance of Tri-MiasmaticMateriaMedica. The lives of our past masters like Farrington
(who died of Laryngitis), Boger (who died of food
poisoning from eating canned food) and a host of others could have been saved
if only they had known this secret.

Following are some of the cases cured by Dr Vijayakar
and his faculty in the adults and aged patients.

Paraplegia in a 19 year old young man who already underwent two
surgeries in the brain for Arachnoid cyst and Pseudomeningiocele was cured with a dose of Phosphorus 30
by Dr PrafullBorkar. (The
SIMILITUDE, October 2003)

Aplasticdesmoses
of muscular propia in duodenum, jejunum, and colon in
a 16-year old male was cured with a dose of Phosphorus 200 by Dr. Vijayakar (The SIMILITUDE, October 2003)

Hydronephrosis with shrunken right kidney in a 38
year old female was cured with a dose of Phosphorus 200 by Dr. Vijayakar (The SIMILITUDE, April 2004)

CONCLUSION

A polychrest remedy gifted to us by H. Its
well known picture of a sophisticated patient with a tuberculine
diathesis will restrict its potential use if we are not aware of the different
hues in which it can present itself. Whether your patient is a saint or a
sinner, a highly creative artist or a mundane businessman, Phosphorous will
cure him, if it is the Genetic Constitutional Simillimum
(GCS) in the case. The pathologically advanced Sycotic
or Syphilitic diseases and those cases requiring stimulation of stem cells for regrowth of destroyed organs or tissues, that occur in the
old or the young may miss their GCS, if the homeopath fails to dig into the
past history and discover the innate characteristic traits of the individual
that find expression only when the patient was as yet in a un-diseased state
and these very traits get masked as the patient enters the Sycotic
or Syphilitic phase and lead us astray from their correct similimum.

This is in continuation of the first part of this article[1] published
in February 2014 issue of this journal. Building up themes based on the rubrics
present in the repertory in which the remedy is present is a profitable
exercise. It reveals the potential uses of the drug with different shades of coloring given by the miasm. When
conducted with reference to a case on hand, this study becomes even more
thrilling and productive. Once we know the technology behind this kind of a
study, we can duplicate it in respect of any other remedy or case. So also we
need to understand the dynamics of vital force in its different modes of action
as when under action of disease; when it is acted on by suppressive treatments
including homeopathy; and when it is acted on by the partial similimum, or constitutional similimum,
or Genetic Constitutional Similimum (GCS). I find
that understanding disease as energy greatly helps in understanding the
dynamics of vital force in its different modes of action and reaction and helps
us to trace the miasmatic progression and regression
in each individual patient.

MIASMATIC PROGRESSION & REGRESSION

“In the permanent cure of diseases by medicines in living organisms
nature seems never to act otherwise than in accordance with these her manifest
laws, and then indeed she acts, if we may use the expression, with MATHEMATICAL
CERTAINITY.” - (HAHNEMANN S., MateriaMedicaPura - Spirit of the
homoeopathic medical doctrine)

Dr PrafullVijayakar’s
teachings on miasmatic progression and regression of
disease are sourced strictly from Hahnemann’s works, especially the above
mentioned observation of Hahnemann and Aphorism # 74 of Organon
which says: In order to maintain life against these inimical and destructive
attacks, it must produce a revolution in the organism, and either deprive some
part of its irritability and sensibility; or exalt these to an excessive degree
(WHICH IS THE PSORIC DEFENCE), cause dilatation or contraction, relaxation or induration (WHICH IS THE SYCOTIC DEFENCE); or even total
destruction of certain parts (WHICH IS THE SYPHYLITIC DEFENCE), and develop
faulty organic alterations here and there in the interior or the exterior,
cripple the body internally or externally, in order to preserve the organism
from complete destruction of life by the ever-renewed, hostile assaults of such
destructive forces. Simply put, when an organism is under attack by inimical
forces, it defends itself first by inflammation (Psoricdefense). If the organism can’t free itself by
adopting this mode of psoricdefense,
then it adopts the sycotic mode of defense by dilatation, contraction, fortification,
proliferation, induration etc. Even then if the
organism could not free itself, then it adopts the syphilitic mode of defense by destruction of tissues or organs. (This is the
normal mode of miasmatic progression in disease and
there may be variations which will be discussed later.) Consequently the
reverse should happen when the vital force is stimulated with the
constitutional similimum. Syphilitic expression shall
reverse to sycotic and then to psoric
expressions. That this happens with mathematical certainty was first found and
recorded by Hahnemann and now further amplified through his seminars and books
by Dr PrafullVijayakar who
says ‘Homeopathy is Mathematics’.

Fundamental to our practice of classical homeopathy is the thorough
understanding of the principles of ‘Miasmatic
Progression’ (in disease) and ‘Miasmatic Regression’
(in cure) as amply explained by Dr PrafullVijayakar in his books on ‘Predictive Homeopathy’. This
helps us in understanding the miasmatic journey of
disease in each patient and as a corollary, predict what should happen if the
remedy given is the ‘Genetic Constitutional Similimum’
(GCS). This is also essential for deriving and understanding the Tri-miasmaticmateriamedica of every well proven remedy. Most importantly, this
knowledge is essential if we are not to miss the remedy just because some vital
theme of its popular drug picture available in all the materiamedicas (like Haughtiness in Plat-met.inum)
is not present in the patient sitting before us.

DISEASE AS ENERGY

‘We know that diseases just do not disappear into thin air. Nor do they
appear from out of the blue. Everything in the world, including diseases, have
a precursor and a follower’

[Dr Vijayakar]

Concept of disease as energy, mentioned above greatly helps our
understanding of the rationale behind his 7-Layer chart of Suppressions
abundantly described in his book, ‘Theory of Suppression’.

I feel we may conceptualize disease more specifically as a portion of
vital energy that deviated from its original normal state and started acting as
if it is an autonomous thing in itself and of itself, and not in consonance
with the rest of energy field or vital force of the organism. The defense mounted by the rest of energy field to get back the
disease energy under its control and normalize it to be in consonance with
itself will be psoric to start with. When its psoric mode of defense does not
solve the problem, this same psoricdefense gets converted to sycotic
mode of defense and still later to syphilitic mode if
the sycotic mode of defense
is found not adequate to restore order. From psoric
to sycotic to syphilitic, it is a continuum and since
the sum total of energy is constant, it follows that during cure the decrease
in syphilitic mode shall result in corresponding increase in sycotic symptoms. When these also get converted into psoric symptoms, and later these psoric
symptoms also disappear, confirming that the Psora
has gone into latent stage - the cure is established. While doing this kind of
conceptualization, we must also be aware that this is just a model that helps
in our analysis of case and its cure, without which no successful case
management is possible. If you have a better model that serves the same
purpose, you are most welcome to use it, because after all a model is a model,
something like a temporary scaffolding that is built around the structure while
it is being constructed and later when the purpose is served, it is dismantled
as

of no use.

DISEASE as ENERGY - CURE or PALLIATION

Disease as energy, is an excellent concept adopted by Dr PrafullVijayakar that paved the
way for his Predictive Homeopathy.Some
other homeopaths before him too adopted this concept, but none to the extent
that Dr Vijayakar did. In the light of this concept,
the mechanisms of cure and palliation become more meaningful and assume
significance in understanding the journey of disease in a patient, identify the
change of miasmatic expressions and suppressions due
to allopathy or non-homeopathic treatment of disease.
Cure implies restoration of disease energy to its undiseased
state, which is accomplished by the vital force when stimulated by the similimum. What follows in due course of this restoration
process over several months, in a chronic disease is the normalization and
seamless integration of disease energy with that of the rest of the organism.
Palliation implies just a realignment of the disease energy without it being
normalized or integrated with that of the rest of the organism and it continues
its mischief albeit in an altered mode. It is well known that in almost all
chronic diseases, the allopathic suppressions are attendant with palliation and
not cure.

This rubric very aptly confirms our understanding of disease as energy
and is in consonance with nature’s laws of conservation of energy. If we give a
similimum and find that the mental symptoms have
disappeared and disease has now travelled to the physical plane, what is the
conclusion we can draw. Disease is energy and it cannot just vanish into thin
air and so the relief in mental symptoms shall be followed by corresponding
increase in physical symptoms, if the remedy given is correct. In fact we
cannot draw any conclusion at this stage. Only after we come to know that these
physical symptoms have also disappeared in accordance with Hering’s
Laws of direction of cure and the patient is well both physically and mentally
we can be sure of its cure. But what if after a lapse of a few days, the
earlier mental symptoms return, and in all probability with even more
vengeance, and you find the physical symptoms disappeared in the same
proportion.

[Campbell] This aspect is described as follows.

“These states are mentally and physically reciprocal by reasons of the
continual play of reflexes and many of them under no treatment or bad treatment
eventuate in malignancy. But under the influence of one of the antipsoric or the diatheticnosodes, the latency can be made to declare its true
character after which the scientifically selected remedy or cycle of complimentaries will accomplish more than any other
remedial measure to subdue the miasm and divert its
manifestations from vital to non-vital parts of the organism, and from
malignant to benignant expression. Instead of venting the entire volume of the
(disease) energy locally it becomes innocently diffused (by the correct similimum).” - J. B. Campbell in Proceedings of the
Thirty-Fifth Annual Meeting of the International Hahnemannian
Association.1914

It therefore follows that our selection of the remedy must cover these
alternating states, if present in a case, for cure to follow. Otherwise we will
be suppressing the case and ultimately it goes into malignancy. In alternating
states as when mental symptoms alternate with physical symptoms or even the
mental moods alternate between gaiety and depression (like in Bipolar), Plat-met.inum is one of the first ranking remedies to be
considered. [MIND - EXHILARATION # sadness]

DISEASE AS ENERGY - MENTAL PLANE

Will, Understanding, and Intellect form the three vertices of the mental
plane. They belong to the individual constitution and mental makeup. Disease
energy can localize at any or all of these three and the following case taken
from Grauvogl’s Textbook of Homoeopathy proves the
point and helps in conceptualizing disease as distorted energy either on the
mental plane or physical plane or both, that has to be normalized with the similimum stimulating the vital force to do so.

CASE OF AN IMBECILE BOY (IHA 1916):

“I was asked to examine a boy, eleven years old, because I was told he
always acted like an imbecile; now laughed, now cried, without being able to
give any reason for it. As soon as he is not observed, he seeks to rub the
genitalia against tables or chairs, or in any way, even against the thighs.
This he pursues with such a passion, that he gets angry and cries whenever he
is prevented from so doing; hence, he has to be kept constantly under the eye.
He was no child like other children; he never played or took any interest in
those of his age, was always absent-minded and forgetful, did not hear what was
said; was seldom induced to speak, and when compelled, only answered a word or
two, whereupon he forgot, right away, what the question was. He also made all
sorts of grimaces, distorted his eyes and mouth; suddenly raced about the room,
with all sorts of gesticulations, then sat down again, relapsed into a stupid
mood, or whistled or sang to himself.

“Irritable and very easily aroused, he was most quiet in the open air.
Whatever was taught him, had to be taught mechanically, but above all things,
of whatever he read, he could relate nothing.

At the same time, he had no confidence in anybody. Everyone was
indifferent to him, he showed an inclination for no one, and was in the highest
degree timorous and distrustful. His hunger could hardly be appeased and he
slept, if not disturbed, unusually long. At the same time, I observed after
watching him a long time, that he was always more indolent and acted more
peevishly and ugly one day than the other, on which account I forbade that he
should be punished on his bad day.

“To this child I gave, according
to the law of similarity, Plat-met.ina 30, four or
five drops night and morning. In a very few days, everything improved, and the Plat-met.ina was discontinued after having been given in this
way for eight days, in order to let it produce its entire effect. Hereupon,
however, the old vices made their appearance again in a few days. Nevertheless,
I continued in this same way, and gave Plat-met.ina
30 for eight days, and then discontinued its use for eight days, and afterwards
for a longer time, and then had the satisfaction of curing this child so
completely in the course of four months that he was freed from his unnatural
sexual passion, even. Just in proportion as this declined, all his intellectual
functions were brought up to their normal state.” -Proceedings of the Thirty-Seventh Annual
Meeting of the International Hahnemannian
Association.1916

The above case shows how a true similimum can
set right the constitution and rid it of its evil habits and addictions, so
that the mental resources are freed from the clutches of disease force and the
indwelling spirit can utilize his body for higher purposes of living. This case
is also an excellent example of Plat-met.inum in
mentally retarded children in particular and psychiatric disorders in general
where we find this erotic theme predominates in the overall context of the
case.

PLAT-MET.INUM IN PAEDIATRIC PRACTICE

“Stages of development are clearly discernable in the child that grows
up and matures. Remedies for these stages can be found in every kingdom, but in
no other kingdom can the stages be traced back to remedies as easily as in that
of the minerals.” - Dr Patricia Le Roux (Homoeopathic Links, 2006)

How to recognize Plat-met.inum constitution in
children is best done by studying the rubrics carefully. Children come mostly
with psoric phase of disease symptoms and these psoric drug pictures are not available in the materiamedicas. If we are able
to recognize and treat children with their constitutional remedies, following
the acute remedies given to treat their acute conditions, their genetic
predisposition can be corrected at a very early age and they can be saved of
many misfortunes in health they are genetically prone to as they sail through
the vicissitudes of life. Another aspect of this study is to confirm the
childhood symptom picture retrospectively, of an adult patient sitting in front
of us. This is so because it was only this original Psora
that over the years got transformed to sycotic or
syphilitic picture owing to suppressive treatment or wrong homeopathic
treatment.

Some Plat-met.inum persons make excellent
managers because they know which side of the bread, the butter lies and
accordingly vary their style of functioning. With their sycophancy and seducing
behavior they make it to the top. But once they reach
the top, they miserably fail to deliver. Their authoritative style of
functioning only suits such organizations which are loss-making and almost
given up for revival. In such cases only they succeed in implementation of
turn-around strategies and take them to never before thought of levels of
achievement.Like Winston Churchill,
they are suitable as war time Prime Ministers only and unfit for peace time
management. The case of Mr Mani Iyer, a former
minister in the Government of India from recent history servers as an excellent
example of this. He was once kept as Minister for Petroleum and was in constant
tug-of-war with the Chairman of Oil & Natural Gas (ONGC) to a point that
the Chairman, who was acclaimed as

the most competent CEO threatened to quit. This minister was later
shifted to Ministry of Sports where also his performance came in for severe
criticism by friends and foes alike.

Mr Ajay Maken who succeeded him later as
Sports minister sent a letter to the Prime Minister, blaming former sports
minister Mani ShankerAiyar
for the Common Wealth Games mess to an extent, claiming that Aiyar had played an “obstructionist” role. The public image
of this minister closely tallies with Plat-met.inum.
We have no knowledge of his private life or his sexual preferences. However,

If he also happens to be a homosexual, then Plat-met.inum
suits him as a GCS and he would make an excellent Prime Minister if selected
for that post in 2014 and I have no doubt that he would pull the country from
out of the present mess, what with the economy in doll drums and all-around
rampant corruption eating away the social fabric. His unquestionable loyalty to
the Gandhi family would serve as additional qualification for him for that
post. This is just to show how knowledge of the constitutional types would help
us identify retrospectively the GCS in every individual, as also serve as a
guideline in selecting the best men for any job.

VARIATIONS IN MIASMATIC PROGRESSION - NATURE vs
NURTURE

Man is a mixture of nature and nurture. So the outcome of miasmatic expression varies with the composition of this
mixture. There can be infinite possibilities at every stage of development of
disease. But the ultimate expressions can be broadly classified as frank
syphilitic or autoimmune or those cases involving destruction of organs or
tissues needing stimulation of stem cells.

Especially those with tubercular diathesis or cancer diathesis end up
with diseases related to their diathesis.

The question often comes, if always the way miasmatic
progression takes place in every case of chronic disease, is invariably from psora to sycosis to
syphilitic.Let us consider the case of
a young lady, married and getting accustomed to her life situation in a joint
family typical of the Indian way of living. Suppose she hails from a well to do
family and now finds herself forced to adjust with the new family. Added to all
this, she feels she is looked down upon and not given the respect she deserves
as a daughter-in-law. If she is a Plat-met.inum
constitution, she should have taken the matter to its logical conclusion, or so
we assume, and expect her to react accordingly. But we find from the history of
her case, that she did not act haughtily and so we are tempted to rule out Plat-met.inum in the first instance itself. But, ‘acting
haughtily’ is a sycoticdefense
mode of Plat-met.inum and if the family social and
cultural context of the individual does not permit its expression, naturally
the entire disease force directly gets converted to syphilitic mode and the
patient ends up finally with either cancer pathology in the physical plane or
psychiatric disorder in the mental plane. Even if Plat-met.inum
happens to be the GCS in her case, we are filtering it out in the first
instance itself, just because in her entire case history we find she never
acted haughtily. This happens if we are unmindful of the fact that psora may get converted directly into syphilis, without
first going to sycosis and then syphilis. This may be
true of any remedy or any constitution and so the case history with particular
reference to the journey of disease, has to be viewed in the peculiar context
of the patient’s life situation to assess the potential suppressing factors like
economic dependence, social values and cultural belief systems that prevented
expression of the psoric or sycotic
phase in its entirety. In some cases where the miasmatic
progress occurred directly from psora to syphilis,
the organism saves itself by converting back the syphilitic phase to sycotic phase and it stabilizes there for the time being in
a new state of syco-syphilitic equilibrium as it
often happens in cases treated with steroids for example. In such cases we get
predominantly sycotic symptoms with very few
syphilitic remnants. We have to hunt for these syphilitic remnants and cover
our selection to include these, not forgetting to include the psoric origins from where the whole story started. Disease
starts when the organism is starved of its psoric
need. We as homeopaths must be alive to all such possibilities if we are to
cure chronic diseases, especially where destruction of organs or tissues
occurred and so need stimulation of stem cells for their regrowth
as in chronic kidney disorders (CKD), motor-neurone disease (MND), Rheumatoid
Arthritis (RA), Systemic Lupus Erythematosus (SLE)
etc.

PSYCHIATRIC DISORDERS IN PLAT-MET.INUM CONSTITUTION

As already pointed out, the type of defense
mechanism that one puts up is not only genetically determined but also by the
environment or the life situation which is largely dictated by the family,
social, cultural, and economic backgrounds. In any psychiatric disorder (that
Hahnemann refers to as mental and emotional diseases), the question arises
whether it has origin from somatic disorder getting converted or a disorder
that was caused by the environmental influences like faulty upbringing, bad
habits, evil influence of friends and those around etc. To know which of them
the cause

is, we need to take recourse to Aph#224 of the organon.
In those cases originating from faulty upbringing, bad habits, perverted
morality, neglect of the spirit, superstitions or ignorance, the mental disease
will subside and improve when the patient is shown empathy, understanding, well-intentioned
exhortations, consolation, or with earnest and rational expostulations.On the other hand, if

it is a psychiatric disorder that is really based upon a somatic disease
(that got suppressed by unhomeopathic treatment), it
will rapidly worsen with such counseling. The
melancholic patient will become still more downcast, plaintive, disconsolate
and withdrawn; someone who is maliciously insane will become still more
embittered; and senseless talk will become obviously more nonsensical.

Plat-met.inum constitutions at this stage can
be broadly divided into two categories, one in whom the patient gives vent to
the expression of his innate instincts and lives the way they dictate his
course

of life; the other is where the patient suppresses those and prevented
their expression on grounds of social, moral, religious or other constraints. Vithoulkas calls the former the ‘Earthy Type’ and the later
the ‘Romantic Type’ and says:

The earthy type goes into nymphomania. The Earthy type will not go into
psychiatric disorders. Some rubrics relevant to this type are mentioned below.
As can be seen from these rubrics, the disease energy is finding expression in
the physical plane and when the syphilitic miasm
blooms to full, this type pose a threat to the society and community at large.

The romantic type goes into grandiose thoughts and the ego blows up in
the same proportion that the sex urge is controlled. When the sex is left in
free expression, then we do not have the grandiose ideas of Plat-met.inum. Romantic type goes into Obsessive Compulsive
Disorders initially and frank erotic insanity finally. Sometimes the same
patient may alternate between these two types. Such a case was shown at
Jonathan Shore’s seminar, presented 19 - 24 April 1991 in the Netherlands.

Shore’s patient was a 48-year old male, PhD in mathematics from Stanford
who alternated between a saintly living doing yoga, intense meditation etc and
a highly promiscuous behavior taking drugs, etc.
However Plat-met.inum has the power to stall the
progress of the disease at any stage of both these categories and restore order
and sanity resulting in normalization of thoughts, moods and behavior. If it happens to be just the state similimum and not GCS, it may have to be followed up with
some other remedies to complete the cure.

MIND - LIBERTINISM

MIND - NYMPHOMANIA

MALE GENITALIA/SEX - SODOMY

MIND - OBSCENE, lewd - man searching for little
girls

MIND - MORAL FEELING; want of

MIND - COMPREHENSION - easy

MIND - HOMOSEXUALITY

MIND - PEDOPHILIA

ROMANTIC TYPE: Some rubrics relevant to this type are mentioned below.
It may be seen from these rubrics the disease energy is finding expression in
the mental plane and in this mode

it is destruction of self, which is like aiming the gun at oneself. So
there is no threat to society from this type, as they destroy themselves with
autoimmune disorders or insanity or cancer.

In any case, once the Plat-met.inum
constitution gets into this syphilitic phase, the superiority complex fades
away and then the following are some of the rubrics that indicate the direction
one takes

The romantic type of Plat-met.inum
constitutions ends up either with cancers or autoimmune disorders or
psychiatric disorders. In cases of cancers occurring in Plat-met.inum constitutions, the various compounds of Plat-met.inum hold promise and need to be proved.

Plat-met.inum-based anti-neoplastic
agents are compounds of Plat-met.inum used in 50% to
70% of all chemotherapy schemes for cancer patients world-wide.But their use is attendant with side effects

as noted below. Since what a drug causes, it can cure based on our
homeopathy principle; these toxic effects show their potential use in
homeopathy treatment of cancers in Plat-met.inum
constitutions. However a homeopathy proving of these Plat-met.inum
compounds in potencies only will give us more specific indications.

VARIATIONS IN MIASMATIC PROGRESSION - NATURE vs
NURTURE

Man is a mixture of nature and nurture. So the outcome of miasmatic expression varies with the composition of this
mixture. There can be infinite possibilities at every stage of development of
disease. But the ultimate expressions can be broadly classified as frank
syphilitic or autoimmune or those cases involving destruction of organs or
tissues needing stimulation of stem cells.

Especially those with tubercular diathesis or cancer diathesis end up
with diseases related to their diathesis.

The question often comes, if always the way miasmatic
progression takes place in every case of chronic disease, is invariably from psora to sycosis to
syphilitic.Let us consider the case of
a young lady, married and getting accustomed to her life situation in a joint
family typical of the Indian way of living. Suppose she hails from a well to do
family and now finds herself forced to adjust with the new family. Added to all
this, she feels she is looked down upon and not given the respect she deserves
as a daughter-in-law. If she is a Plat-met.inum
constitution, she should have taken the matter to its logical conclusion, or so
we assume, and expect her to react accordingly. But we find from the history of
her case, that she did not act haughtily and so we are tempted to rule out Plat-met.inum in the first instance itself. But, ‘acting
haughtily’ is a sycoticdefense
mode of Plat-met.inum and if the family social and
cultural context of the individual does not permit its expression, naturally
the entire disease force directly gets converted to syphilitic mode and the
patient ends up finally with either cancer pathology in the physical plane or
psychiatric disorder in the mental plane. Even if Plat-met.inum
happens to be the GCS in her case, we are filtering it out in the first
instance itself, just because in her entire case history we find she never
acted haughtily. This happens if we are unmindful of the fact that psora may get converted directly into syphilis, without
first going to sycosis and then syphilis. This may be
true of any remedy or any constitution and so the case history with particular
reference to the journey of disease, has to be viewed in the peculiar context
of the patient’s life situation to assess the potential suppressing factors
like economic dependence, social values and cultural belief systems that
prevented expression of the psoric or sycotic phase in its entirety. In some cases where the miasmatic progress occurred directly from psora to syphilis, the organism saves itself by converting
back the syphilitic phase to sycotic phase and it
stabilizes there for the time being in a new state of syco-syphilitic
equilibrium as it often happens in cases treated with steroids for example. In
such cases we get predominantly sycotic symptoms with
very few syphilitic remnants. We have to hunt for these syphilitic remnants and
cover our selection to include these, not forgetting to include the psoric origins from where the whole story started. Disease
starts when the organism is starved of its psoric
need. We as homeopaths must be alive to all such possibilities if we are to
cure chronic diseases, especially where destruction of organs or tissues
occurred and so need stimulation of stem cells for their regrowth
as in chronic kidney disorders (CKD), motor-neurone disease (MND), Rheumatoid
Arthritis (RA), Systemic Lupus Erythematosus (SLE)
etc.

PSYCHIATRIC DISORDERS in PLAT-MET.INUM CONSTITUTION

As already pointed out, the type of defense
mechanism that one puts up is not only genetically determined but also by the
environment or the life situation which is largely dictated by the family,
social, cultural, and economic backgrounds. In any psychiatric disorder (that
Hahnemann refers to as mental and emotional diseases), the question arises
whether it has origin from somatic disorder getting converted or a disorder
that was caused by the environmental influences like faulty upbringing, bad
habits, evil influence of friends and those around etc. To know which of them
the cause is, we need to take recourse to Aph#224 of the organon.
In those cases originating from faulty upbringing, bad habits, perverted
morality, neglect of the spirit, superstitions or ignorance, the mental disease
will subside and improve when the patient is shown empathy, understanding,
well-intentioned exhortations, consolation, or with earnest and rational
expostulations.On the other hand, if it
is a psychiatric disorder that is really based upon a somatic disease (that got
suppressed by unhomeopathic treatment), it will
rapidly worsen with such counseling. The melancholic
patient will become still more downcast, plaintive, disconsolate and withdrawn;
someone who is maliciously insane will become still more embittered; and senseless
talk will become obviously more nonsensical.

Plat-met.inum constitutions at this stage can
be broadly divided into two categories, one in whom the patient gives vent to
the expression of his innate instincts and lives the way they dictate his
course of life; the other is where the patient suppresses those and prevented
their expression on grounds of social, moral, religious or other constraints. Vithoulkas calls the former the ‘Earthy Type’ and the later
the ‘Romantic Type’ and says:

The earthy type goes into nymphomania. The romantic type goes into
grandiose thoughts and the ego blows up in the same proportion that the sex
urge is controlled. When the sex is left in free expression, then we do not
have the grandiose ideas of Plat-met.inum.

The Earthy type will not go into psychiatric disorders, but the Romantic
type goes into Obsessive Compulsive Disorders initially and frank erotic
insanity finally. Sometimes the same patient may alternate between these two
types. Such a case was shown at Jonathan Shore’s seminar, presented 19 - 24
April 1991 in the Netherlands. [6] Shore’s patient was a 48-year old male, PhD
in mathematics from Stanford who alternated between a saintly living doing
yoga, intense meditation etc and a highly promiscuous behavior
taking drugs, etc. However Plat-met.inum has the
power to stall the progress of the disease at any stage of both these
categories and restore order and sanity resulting in normalization of thoughts,
moods and behavior. If it happens to be just the
state similimum and not GCS, it may have to be
followed up with some other remedies to complete the cure.

EARTHY TYPE: Some rubrics relevant to this type are mentioned below. As
can be seen from these rubrics, the disease energy is finding expression in the
physical plane and when the syphilitic miasm blooms
to full, this type pose a threat to the society and community at large.

MIND - LIBERTINISM

MIND - NYMPHOMANIA

MIND - OBSCENE, lewd - man searching for little
girls

MIND - MORAL FEELING; want of

MIND - COMPREHENSION - easy

MIND - HOMOSEXUALITY

MIND - PEDOPHILIA

MALE GENITALIA/SEX - SODOMY

ROMANTIC TYPE: Some rubrics relevant to this type are mentioned below.
It may be seen from these rubrics the disease energy is finding expression in
the mental plane and in this mode it is destruction of self, which is like
aiming the gun at oneself. So there is no threat to society from this type, as
they destroy themselves with autoimmune disorders or insanity or cancer.

In any case, once the Plat-met.inum
constitution gets into this syphilitic phase, the superiority complex fades
away and then the following are some of the rubrics that indicate the direction
one takes just before the psychiatric disorder becomes full blown.

The romantic type of Plat-met.inum
constitutions ends up either with cancers or autoimmune disorders or
psychiatric disorders. In cases of cancers occurring in Plat-met.inum constitutions, the various compounds of Plat-met.inum hold promise and need to be proved.

Plat-met.inum-based anti-neoplastic
agents are compounds of Plat-met.inum used in 50% to
70% of all chemotherapy schemes for cancer patients world-wide.But their use is attendant with side effects
as noted below. Since what a drug causes, it can cure based on our homeopathy
principle; these toxic effects show their potential use in homeopathy treatment
of cancers in Plat-met.inum constitutions. However a
homeopathy proving of these Plat-met.inum compounds
in potencies only will give us more specific indications.

Cis-Plat-met.in inorganic compound containing Plat-met.inum, chlorine and ammonia was the first to be
developed for chemotherapy. It is particularly found effective against
testicular cancer. However,

cis-Plat-met.in used in cancer chemotherapy has
given rise to nephrotoxicity with both tubular and glomerular lesions, severe nausea and vomiting, ototoxicity with tinnitus and hearing loss, and sensory
peripheral neuropathy. So this drug in potencies should be useful in antidoting these side effects of chemotherapy and as a
homeopathy remedy in Plat-met.inum constitutions
suffering from cancers occurring in the urogenital
areas, chronic kidney disorders, and sensory peripheral neuropathy (while Plumbum salts are to be preferred in motor axonal polyneuropathy).

CarboPlat-met.in, is a second-generation Plat-met.inum-based antineoplastic
drug most commonly used for ovarian cancer and lung cancer. Its side effects
include peripheral neuropathy, loss of vision and hearing, and bone morrow
suppression causing drop in WBCs, RBCs
and Plat-met.elets. So this drug in potencies should
be useful for antidoting these side effects in
patients undergoing chemotherapy and in homeopathy treatment of Leukemia and bleeding disorders in Plat-met.inum
constitutions.

OxaliPlat-met.in, is used mostly to treat colorectal
cancer, oesophageal cancer and stomach cancer. Its side effects are same as noted
in the above drugs and in potencies it should be useful for cancers in GI
Tract.

MIXTURE OF PLAT-MET.INUM & CALCAREA in Homoeopathy = MARBLE

When we find a mixture of Plat-met.inum
picture (haughtiness) and that of Calcarea (timid,
slow, intends to play but afraid of getting hurt, loves protection and care and
clinging for support), Marble (proved by Eising.N) is
to be considered.

Dr. Vijayakar cured with Marble the case of a
huge left sided hydrocele in a 14-year old boy who
presented a perfect picture of Plat-met.inum, but
with a mixture of Calcarea traits also. This boy’s
father was cured of Lichen Planus and Diabetes with Plat-met.inum, while the boy’s maternal grand- mother was cured
of Pulmonary Koch with CalcareaPhos
and this knowledge came in handy for a successful prescription of Marble by Dr.
PrafullVijayakar. From the
drug picture it seems that we can successfully use Marble in slow moving sycotic cancerous tumors in Plat-met.inum constitutions that also present the characteristic
traits of Calcarea.

PLAT-MET.INUM IN COMA

Patients going into coma after a fit of passion or such other causes may
be helped by Plat-met.inum, if it is the GCS, which
can only be known from the previous history of the patient. A bed side
examination and careful observation from tip to toe may yield pointers to the
indicated remedy in all such cases. Some relevant rubrics are mentioned below
as an example and more can be searched for in the repertories.

[Clarke J. H.]

Clinical Repertory

Causation - passion, fit of: ars. mag-c. nat-m.
Plat-met..

Murphys Repertory:

Brain - COMA, unconsciousness

Brain - COMA, unconsciousness -
dream, as in a - does not know where he is

1. Excessive preoccupation with sexual thoughts and immoral behavior often involving sexual deviations and promiscuity
as in Fluoric Acid. Erotic insanity and other related psychiatric disorders
like OCD, ADHD, and Imbecility.

2. Constant comparison of self with those around, in terms of body image
or intellectual or professional achievements. Jealous and Contemptuous of those
venerated by others and casting them aside in paroxysms against his will.

3. Actual loss or fear of losing all physical and mental faculties, like
walking, talking, chewing, swallowing in the physical plane and senses like
hearing, seeing, smelling, touch, vibration, taste etc in the mental plane.

4. Excessive fear of penetration at all orifices of the body. Fear of
coition with palpitations and may even faint during coition. Deathly anxiety,
as if her senses would vanish, with palpitations and trembling of all the
limbs.

5. Cutting off relationships with parents, spouse, children or kith
& kin like in Fluoric Acid.

7. Alternating moods without cause. One moment happy and laughing; and
another moment sad and weeping. These moods are not just alternating but do so
to the extremes. When happy she could embrace everyone and laugh at the saddest
things. So also great sadness, with weeping even at joyous and laughable
things, or if she is spoken to. Plat-met.inum is
suitable for Bipolar disorders.

8. Alternating states. Religiousness alternating with eroticism as in Lilium-tig.

3. Hypersensitiveness at all orifices of body. Refuses permission to be
examined by the physician even after being assured prior anesthetization
locally.

4. The patient presents flamboyant style of living, sporting the
costliest dark glasses, wrist watch and dress. Does not mind spending a fortune
on branded items as he wants to show he is a class above the rest of others.

5. Sleep position: sleeps on back with hands over head and thighs drawn
upon abdomen and knees spread far apart.

SUMMARY OF PLATINUM-MET.

The popular drug picture of Plat-met.inum as a
haughty, commanding, authoritative individual prone to look down upon others as
insignificant is too well known to need any mention here. It is the sycotic drug picture only useful when the patient sitting
before us presents with diseases in sycotic
expression like prolapses of organs, etc as described
by Dr Vijayakar in his book, “The End of Myasmtion of MIASMS”

In patients coming with purely psoric phase of
diseases or syphilitic phase of diseases, we will not be able to recognize Plat-met.inum constitution, if our knowledge is limited to the sycotic drug picture because this haughty behavior will be absent. Following the methodology shown by
Dr.Vijayakar, psoric and
syphilitic drug pictures are described and the reader can further amplify these
with his own clinical experience as well as studying critically the cases of
cure published in various journals. A true cure invariably occurs as per Hering’s Laws and confirms the remedy as the right
constitutional similimum.

In psoric phase Plat-met.inum
mostly comes with complaints of anxiety. He may have anxiety in company or when
talking to others in company or even from the most joyful things. Sometimes the
anxiety may alternate with flushes of heat. He will have anxiety from
excitement or from impeded breathing or asthma or any other psoric
ailment coming suddenly. Sometimes when the anxiety peaks to uncontrollable
limits as in Psoro-syphylitic phase he may have panic
attacks as if all his senses would vanish and afraid that he can neither talk,
walk, or swallow. He may be trembling, shrieking from anxiety, with sensation
as if about to faint or vomit. In such cases it is advisable to give an acute
remedy like Belladonna, Hyoscyamous, Stramonium, Pulsatilla etc and
then follow it up with the constitutional remedy later. In certain other cases
where the constitution shifted from psora to
syphilis, the patient may project her anxiety on others. She may have constant
anxiety about safety of her spouse or family members driving her mad. She may
come with a diagnosis of OCD. Her anxiety in syphilitic phase may get projected
on to inanimate objects too, like a kitchen knife, the sight of it bringing
forth her aversion to family members as a sudden and inexplicable desire to
kill her spouse or kith and kin. She may vouchsafe her fondness for her spouse
and family members nevertheless and we need to take all such assertions with a
pinch of salt and give her Plat-met.inum high, higher
or highest. Plat-met.inum loves herself and has no
love for anyone.